A treatise on hernia, explaining its varieties, situation, symptoms, and causes : to which is added a full description of the construction and application of the most approved mechanical remedies / By G.S. Acret, truss maker, 39, Houndsditch.

  • Acret, G. S.
Date:
1835
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on hernia, explaining its varieties, situation, symptoms, and causes : to which is added a full description of the construction and application of the most approved mechanical remedies / By G.S. Acret, truss maker, 39, Houndsditch. Source: Wellcome Collection.

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    of such doubt, mention having dissected these hernise where the fascia was neither thinner than usual nor separated by violence, but had been protruded before the peritoneum, and form¬ ed a thick aponeurotic covering to the hernial sac. Whether such appearances on dissection invalidate the opinion of the necessity that the fascia should be thinner than usual, I must leave the profession to decide; yet I would suggest the probability of the fascia having been, before rupture occurred, thinner than usual; but having become thickened after its protrusion, in the same manner as the peri¬ toneum does in most ruptures. That gradual and moderate distension tends to the thickening of fibre is, I believe, an acknowledged fact; indeed it is constantly seen in the encreased size and thickness of the cremaster muscle in large scrotal ruptures. Internal Inguinal Hernia rarely attains a large size, but from the circum¬ stance of its direct passage from the abdomen through an opening close to the bone, it is very difficult to be secured, as will be explained when speaking of trusses. This hernia is also called Ventro Inguinal and Direct Inguinal.